How do I explain to a patient that he or she has chlamydia and gonorrhea if I only have lab results for the positive chlamydia? The lab called to let me know that while both tests were positive, they could not complete the gonorrhea testing because of insufficient specimen quantity. — Annie M. Clavon, NP, Lauderhill, Fla.

Simply be honest and tell the patient that he or she has chlamydia and most likely gonorrhea. Even in the face of incomplete testing, recommend treatment for both infections, as well as partner notification, treatment and follow-up testing for cure. — Julee B. Waldrop, DNP (182-1)

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These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a question, submit it here.